Ultrasonographic Evaluation of Thickness and Stiffness of Achilles Tendon and Plantar Fascia in Type 2 Diabetics Patients: A Cross-sectional Observation Study.

IF 0.9 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of Medical Ultrasound Pub Date : 2023-02-13 eCollection Date: 2023-10-01 DOI:10.4103/jmu.jmu_109_22

Amit Saroha, Sonal Saran, Sudhir Saxena, Ravi Kant, Ajeet Singh Bhadoria

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引用次数: 0

Abstract

Background: Diabetes mellitus (DM) can contribute to the development of foot ulcers, a known complication of DM with a high financial and social burden. Achilles tendon (AT) and plantar fascia (PF) are well known to play an important role in foot biomechanics. The present study focuses on the alteration in thickness and stiffness of the AT and PF in Type 2 DM patients compared with the normal controls.

Methods: A cross-sectional observational study was conducted with 55 DM patients and 55 healthy volunteers as controls. The thickness of the AT and PF were measured using B-mode ultrasound and stiffness was measured using shear wave elastography. Both the thickness and stiffness in the patient group and controls were compared. The values were also compared with the clinical and demographic profiles of the patients.

Results: DM patients had considerably thicker AT and PF than controls (P < 0.05); mean values of AT thickness for DM patients and controls were 5.66 ± 0.54 mm and 4.61 ± 0.39 mm, respectively, and for PF were 2.53 ± 0.51 mm and 1.97 ± 0.19 mm, respectively. Furthermore, the stiffness of AT and PF was significantly (P < 0.05) lower in DM patients compared to controls, suggestive of softening of AT and PF in Type 2 DM patients. Mean values of shear wave velocity for DM patients and controls in AT were 5.53 ± 0.54 m/s and 7.25 ± 0.61 m/s, respectively, and for PF, 4.53 ± 0.89 m/s and 6.28 ± 0.88 m/s, respectively.

Conclusion: We conclude that there is softening and thickening of the AT and PF in Type 2 DM patients, which can impair foot biomechanics.

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2 型糖尿病患者跟腱和足底筋膜厚度和硬度的超声评估：横断面观察研究

背景：糖尿病（DM）可导致足部溃疡的发生，足部溃疡是糖尿病的一种已知并发症，具有很高的经济和社会负担。众所周知，跟腱（AT）和足底筋膜（PF）在足部生物力学中发挥着重要作用。本研究的重点是与正常对照组相比，2 型糖尿病患者跟腱和足底筋膜厚度和硬度的变化：方法：本研究以 55 名 DM 患者和 55 名健康志愿者为对照组，进行了一项横断面观察研究。使用 B 型超声波测量 AT 和 PF 的厚度，使用剪切波弹性成像测量其硬度。对患者组和对照组的厚度和硬度进行了比较。还将这些数值与患者的临床和人口统计学特征进行了比较：DM患者的AT和PF厚度明显高于对照组（P＜0.05）；DM患者和对照组的AT厚度平均值分别为5.66±0.54毫米和4.61±0.39毫米，PF厚度平均值分别为2.53±0.51毫米和1.97±0.19毫米。此外，与对照组相比，DM 患者的 AT 和 PF 硬度明显降低（P < 0.05），表明 2 型糖尿病患者的 AT 和 PF 软化。DM患者和对照组的AT剪切波速度平均值分别为5.53±0.54 m/s和7.25±0.61 m/s，PF剪切波速度平均值分别为4.53±0.89 m/s和6.28±0.88 m/s：我们得出的结论是，2 型糖尿病患者的 AT 和 PF 存在软化和增厚，这会影响足部生物力学。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Medical Ultrasound RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

1.30

自引率

9.10%

发文量

审稿时长

10 weeks

期刊介绍： The Journal of Medical Ultrasound is the peer-reviewed publication of the Asian Federation of Societies for Ultrasound in Medicine and Biology, and the Chinese Taipei Society of Ultrasound in Medicine. Its aim is to promote clinical and scientific research in ultrasonography, and to serve as a channel of communication among sonologists, sonographers, and medical ultrasound physicians in the Asia-Pacific region and wider international community. The Journal invites original contributions relating to the clinical and laboratory investigations and applications of ultrasonography.